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Lead Revenue Verification Rep

Company: TridentCare
Location: Lakeville
Posted on: February 23, 2021

Job Description:

MA-Lakeville, MA
Lakeville, Town of, MA, USA
Description ROLE: The Lead Revenue Verification Representative is responsible for identification, and verification of the responsible financial party for all services rendered by Trident. Ensures Trident's revenue is appropriately recorded and payment is guaranteed. TASKS AND RESPONSIBILITIES:

  • Trains others and handles difficult or problem accounts.
  • Runs daily worklists and manage workflow.
  • Ensures all paperwork and data entry is completed accurately and timely.
  • Performs revenue verification and qualifications for all new, recurring, and payer change accounts to ensure payment for service.
  • Manages the receipt and review of requisitions.--
  • Works with facility customers to obtain any incomplete payer or guarantor related information required for timely payment.
  • Performs eligibility verification with Medicaid, Medicare, and third party payers where available.
  • Works to identify reduce and eliminate issues that cause claim and processing delays.
  • Maintains key documents via customer files as per policy. (HIPAA, Responsible party forms).
  • Coordinates heavily with the accounts receivable representatives for assigned facilities.
  • Advises Customer Service and Billing Center of trends which impact reimbursement.
  • Performs other tasks as assigned to support the goals of the organization. OTHER RESPONSIBILITIES:
    • Customer Service \ Data Entry SKILLS-EXPERIENCE:
      • Strong oral and written communication skills
      • Three years medical customer service or claims processing experience preferred
      • High attention to detail
      • Ability to prioritize needs and function independently Shift: 40 hours Monday through Friday Qualifications Skills Preferred Leadership Some Knowledge Customer Service Intermediate Communication Skills Intermediate Analysis Some Knowledge Behaviors Preferred Enthusiastic: Shows intense and eager enjoyment and interest Leader: Inspires teammates to follow them Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Motivations Preferred Goal Completion: Inspired to perform well by the completion of tasks Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: TridentCare, Lakeville , Lead Revenue Verification Rep, Other , Lakeville, Minnesota

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